Individual provider · Type 1 NPI

Elena Koleva

Licensed Practical Nurse · Kelso, WA

NPI number 1922779768 Active

Practice location

305 Pacific Ave S # 102
Kelso, WA 98626-1638

Fax (360) 577-0187

Mailing address

PO Box 1847
Longview, WA 98632-8140

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP61094273 (WA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1922779768

Elena Koleva's National Provider Identifier is 1922779768, issued on Sep 22, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Kelso, WA. The record was last updated on Sep 22, 2021.